Vongsouvanh, Ammata

Vongsouvanh, Ammata is an individual health care provider with primary practice located at 15995 Sw Walker Rd , Beaverton OR 97006-4910. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Vongsouvanh, Ammata can be contacted via phone (503) 690-5833.

Contact Information

Primary practice address
15995 Sw Walker Rd Beaverton OR 97006-4910
Phone: (503) 690-5833
Fax: (503) 690-5827
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 0011789 Oregon
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X RPH-0011789 Oregon

Profile Details

NPI number 1609112234
LBN Legal business name Vongsouvanh, Ammata
Credentials PHARM. D
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 31st, 2012
Last updated Apr 26th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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